Clinical evaluation was made on cephalexin and ampicillin by double blind method in patients with non-obstructive acute pyelonephritis whose isolated organisms were mostly
Escherichia coli.
Treatment regimens of the drugs were ampicillin 2 g daily and cephalexin 1 g and 2 g daily for the period of 1 week and 2 weeks respectively.
Clinical effectiveness in each treatment regimen was as follows :
The effectiveness was 46% with ampicillin 2 g daily and 86% with 1 g daily and 89% with 2 g daily of cephalexin for 1 week therapy, and 68% with ampicillin 2 g daily and 88% with 1 g daily and 63% with 2 g daily for 2 weeks therapy.
Relapse was observed after withdrawal of therapy in each 1 case with ampicillin 2 g daily for 1 week group and cephalexin 1 g daily for 2 weeks group.
No severe side effect was observed in this study excepting 2 cases of gastrointestinal disturbance in ampicillin group.
A tentative proposal was made on the criteria for evaluating clinical response of chemotherapy.
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